Provider Demographics
NPI:1336254234
Name:PARIKH, NIKHIL S (MD PA)
Entity Type:Individual
Prefix:
First Name:NIKHIL
Middle Name:S
Last Name:PARIKH
Suffix:
Gender:M
Credentials:MD PA
Other - Prefix:
Other - First Name:NIK
Other - Middle Name:
Other - Last Name:PARIKH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2030 NEW RD
Mailing Address - Street 2:
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221-1042
Mailing Address - Country:US
Mailing Address - Phone:609-653-0009
Mailing Address - Fax:609-653-6648
Practice Address - Street 1:2030 NEW RD
Practice Address - Street 2:
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221-1026
Practice Address - Country:US
Practice Address - Phone:609-653-0009
Practice Address - Fax:609-653-6648
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04165700207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1304801Medicaid
NJD06720Medicare UPIN
NJ001000Medicare ID - Type Unspecified